A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)
An assistive personnel is informing a friend of the client about their condition.
A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present.
An assistive personnel logs out of the computer prior to responding to a call light.
A nurse is faxing data about a client to a preferred provider.
A nurse is reviewing an electronic list of all clients admitted to the unit.
Correct Answer : A,B,E
A. This is a clear breach of confidentiality as sharing client information with individuals who are not part of the healthcare team and without the client's consent violates patient privacy.
B. Discussing a client’s condition in a public area where unauthorized individuals (like visitors) can overhear is a breach of confidentiality. Patient information should be discussed in private settings to protect the client's privacy.
C. This action is a good practice to protect patient information and does not breach confidentiality.
D. This is acceptable as long as proper protocols are followed, such as using secure fax lines and confirming that the receiving party is authorized to receive the information. This action does not inherently breach confidentiality.
E. If the nurse is not involved in the care of all those clients and does not have a legitimate reason to access that information, this action can also be considered a breach of confidentiality. Healthcare providers should only access information relevant to their role and responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Checking the reading after the other nurse leaves the room is incorrect because it does not address the immediate need for accurate data and doesn't ensure that the initial readings were correct. It's important to act promptly to verify the accuracy of the readings to ensure patient safety.
Choice B Reason:
Documenting a pulse deficit of 16 beats per minute is incorrect. While there seems to be a difference of 16 beats per minute between the apical and radial pulses, it's essential to confirm this discrepancy with further assessment rather than immediately documenting it. Documentation should be based on accurate and verified data.
Choice C Reason:
Report the results of the deficit to the healthcare provider is incorrect. Reporting the results to the healthcare provider without confirming the accuracy of the initial readings may lead to unnecessary alarm or inappropriate interventions. It's important to ensure the data is reliable before escalating to the healthcare provider.
Choice D Reason:
Repeating the assessment to obtain another reading is correct because it allows the nurses to confirm the accuracy of the initial readings and ensure that there is indeed a pulse deficit. This action promotes patient safety by obtaining reliable data for appropriate intervention if needed. It's crucial to rule out any errors or discrepancies in the initial readings before taking further action or reporting to the healthcare provider.
Correct Answer is B
Explanation
Choice A Reason:
Reinforcing facility protocols at the next staff meeting, is important for reminding all staff members of the importance of following protocols, but it may not address the immediate issue at hand.
Choice B Reason:
Discussing the issue with the AP is correct. When a charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol, the first action should be to directly address the issue with the AP. This allows for immediate feedback and correction of behavior, helping to ensure that proper procedures are followed in the future.
Choice C Reason:
Alerting the infection control department, may be necessary if the violation poses a risk of infection transmission, but it may not be the first step. Directly addressing the issue with the AP allows for immediate correction and prevents potential harm.
Choice D Reason:
Notifying the unit manager about the incident, is also important, but addressing the issue with the AP directly is the immediate action needed to correct the behavior.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today